Why the study?
Does the number of rapid ventricular pacing episodes impact clinical outcomes and mortality in patients undergoing TAVR?
Population
412 consecutive patients undergoing transcatheter aortic valve replacement, mean age 82±7 years, 47% male.
Comparison
≥3 rapid ventricular pacing episodes during TAVR vs 0 or 1 to 2 rapid ventricular pacing episodes…
Design
Cohort
Follow-up
1 year
Authors
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May warrant caution with repeated rapid ventricular pacing in TAVR; leaves open whether minimization improves survival.
Does the number of rapid ventricular pacing episodes impact clinical outcomes and mortality in patients undergoing TAVR?
Multiple rapid ventricular pacing episodes (≥3) during TAVR are independently associated with increased 1-year mortality and acute kidney injury, suggesting operators should minimize RVP use.
Fefer et al. (2018) studied this question.
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